Fifth Street Dental, P.c.

NPI #1972723823 in Dexter, Michigan

Provider Information

NPI Number: 1972723823
Entity Type: Organization
Organization Name: Fifth Street Dental, P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 25, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 8048 5TH ST
City: Dexter
State: Michigan
ZIP Code: 48130-1033
Phone: (734) 426-2220

Authorized Official

Name: DR. KENNETH HENRY GREINER, D.D.S.
Title: PRESIDENT
Phone: (734) 426-2220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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